2022 ICD-10-CM Diagnosis Code H36

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ICD-10-CM Codes
H00-H59
H30-H36
H36-
2025 ICD-10-CM Diagnosis Code H36

2025 ICD-10-CM Diagnosis Code H36

Retinal disorders in diseases classified elsewhere

2016

2017

2018

2019

2020

2021

2022

2023

2024 - Converted to Parent Code

2025

Non-Billable/Non-Specific Code

H36 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2025 edition of ICD-10-CM H36 became effective on October 1, 2024.
This is the American ICD-10-CM version of H36 - other international versions of ICD-10 H36 may differ.

Code FirstCode First HelpCertain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.

underlying disease, such as:
lipid storage disorders (ICD-10-CM Diagnosis Code E75
- E75 Disorders of sphingolipid metabolism and othe...
  - E75.0 GM2 gangliosidosis
    - E75.00 …… unspecified
    - E75.01 Sandhoff disease
    - E75.02 Tay-Sachs disease
    - E75.09 Other GM2 gangliosidosis
  - E75.1 Other and unspecified gangliosidosis
    - E75.10 Unspecified gangliosidosis
    - E75.11 Mucolipidosis IV
    - E75.19 Other gangliosidosis
  - E75.2 Other sphingolipidosis
    - E75.21 Fabry (-Anderson) disease
    - E75.22 Gaucher disease
    - E75.23 Krabbe disease
    - E75.24 Niemann-Pick disease
      - E75.240 …… type A
      - E75.241 …… type B
      - E75.242 …… type C
      - E75.243 …… type D
      - E75.244 …… type A/B
      - E75.248 Other Niemann-Pick disease
      - E75.249 …… unspecified
    - E75.25 Metachromatic leukodystrophy
    - E75.26 Sulfatase deficiency
    - E75.27 Pelizaeus-Merzbacher disease
    - E75.28 Canavan disease
    - E75.29 Other sphingolipidosis
  - E75.3 Sphingolipidosis, unspecified
  - E75.4 Neuronal ceroid lipofuscinosis
  - E75.5 Other lipid storage disorders
  - E75.6 Lipid storage disorder, unspecified
E75.-)
sickle-cell disorders (ICD-10-CM Diagnosis Code D57
- D57 Sickle-cell disorders
  - D57.0 Hb-SS disease with crisis
    - D57.00 …… unspecified
    - D57.01 Hb-SS disease with acute chest syndrome
    - D57.02 Hb-SS disease with splenic sequestration
    - D57.03 Hb-SS disease with cerebral vascular involvem...
    - D57.04 Hb-SS disease with dactylitis
    - D57.09 Hb-SS disease with crisis with other specifie...
  - D57.1 Sickle-cell disease without crisis
  - D57.2 Sickle-cell/Hb-C disease
    - D57.20 …… without crisis
    - D57.21 Sickle-cell/Hb-C disease with crisis
      - D57.211 Sickle-cell/Hb-C disease with acute chest syn...
      - D57.212 Sickle-cell/Hb-C disease with splenic sequest...
      - D57.213 Sickle-cell/Hb-C disease with cerebral vascul...
      - D57.214 Sickle-cell/Hb-C disease with dactylitis
      - D57.218 Sickle-cell/Hb-C disease with crisis with oth...
      - D57.219 Sickle-cell/Hb-C disease with crisis, unspeci...
  - D57.3 Sickle-cell trait
  - D57.4 Sickle-cell thalassemia
    - D57.40 …… without crisis
    - D57.41 Sickle-cell thalassemia, unspecified, with cr...
      - D57.411 Sickle-cell thalassemia, unspecified, with ac...
      - D57.412 Sickle-cell thalassemia, unspecified, with sp...
      - D57.413 Sickle-cell thalassemia, unspecified, with ce...
      - D57.414 Sickle-cell thalassemia, unspecified, with da...
      - D57.418 Sickle-cell thalassemia, unspecified, with cr...
      - D57.419 Sickle-cell thalassemia, unspecified, with cr...
    - D57.42 Sickle-cell thalassemia beta zero without cri...
    - D57.43 Sickle-cell thalassemia beta zero with crisis...
      - D57.431 Sickle-cell thalassemia beta zero with acute ...
      - D57.432 Sickle-cell thalassemia beta zero with spleni...
      - D57.433 Sickle-cell thalassemia beta zero with cerebr...
      - D57.434 Sickle-cell thalassemia beta zero with dactyl...
      - D57.438 Sickle-cell thalassemia beta zero with crisis...
      - D57.439 Sickle-cell thalassemia beta zero with crisis...
    - D57.44 Sickle-cell thalassemia beta plus without cri...
    - D57.45 Sickle-cell thalassemia beta plus with crisis...
      - D57.451 Sickle-cell thalassemia beta plus with acute ...
      - D57.452 Sickle-cell thalassemia beta plus with spleni...
      - D57.453 Sickle-cell thalassemia beta plus with cerebr...
      - D57.454 Sickle-cell thalassemia beta plus with dactyl...
      - D57.458 Sickle-cell thalassemia beta plus with crisis...
      - D57.459 Sickle-cell thalassemia beta plus with crisis...
  - D57.8 Other sickle-cell disorders
    - D57.80 …… without crisis
    - D57.81 Other sickle-cell disorders with crisis
      - D57.811 Other sickle-cell disorders with acute chest ...
      - D57.812 Other sickle-cell disorders with splenic sequ...
      - D57.813 Other sickle-cell disorders with cerebral vas...
      - D57.814 Other sickle-cell disorders with dactylitis
      - D57.818 Other sickle-cell disorders with crisis with ...
      - D57.819 Other sickle-cell disorders with crisis, unsp...
D57.-)

Type 1 ExcludesType 1 Excludes HelpA type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H36. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

arteriosclerotic retinopathy (ICD-10-CM Diagnosis Code H35.0
Background retinopathy and retinal vascular changes
Code Also
- any associated hypertension (I10)
H35.0-)
diabetic retinopathy (ICD-10-CM Diagnosis Code E08.3
Diabetes mellitus due to underlying condition with ophthalmic complications
E08.3-, ICD-10-CM Diagnosis Code E09.3
Drug or chemical induced diabetes mellitus with ophthalmic complications
E09.3-, ICD-10-CM Diagnosis Code E10.3
Type 1 diabetes mellitus with ophthalmic complications
E10.3-, ICD-10-CM Diagnosis Code E11.3
Type 2 diabetes mellitus with ophthalmic complications
E11.3-, ICD-10-CM Diagnosis Code E13.3
Other specified diabetes mellitus with ophthalmic complications
E13.3-)

The following code(s) above H36 contain annotation back-referencesAnnotation Back-ReferencesIn this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to H36:

H00-H59 2025 ICD-10-CM Range H00-H59
Diseases of the eye and adnexaNote
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Diseases of the eye and adnexa

Approximate Synonyms

Proliferative retinopathy due to sickle cell disease
Retinal dystrophy
Retinal dystrophy due to systemic disorder
Retinal dystrophy in cerebroretinal lipidosis
Sickle cell proliferative retinopathy
Sickle cell retinopathy
Sickle cell retinopathy (eye condition)

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change
2024 (effective 10/1/2023): Deleted code
2024 (effective 10/1/2023): New code
2025 (effective 10/1/2024): No change

ICD-10-CM Codes Adjacent To H36 H35.73 Hemorrhagic detachment of retinal pigment epithelium H35.731 …… right eye H35.732 …… left eye H35.733 …… bilateral H35.739 …… unspecified eye H35.8 Other specified retinal disorders H35.81 Retinal edema H35.82 Retinal ischemia H35.89 Other specified retinal disorders H35.9 Unspecified retinal disorder H36 Retinal disorders in diseases classified elsewhere H36.8 Other retinal disorders in diseases classified elsewhere H36.81 Nonproliferative sickle-cell retinopathy H36.811 …… right eye H36.812 …… left eye H36.813 …… bilateral H36.819 …… unspecified eye H36.82 Proliferative sickle-cell retinopathy H36.821 …… right eye H36.822 …… left eye H36.823 …… bilateral

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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Từ khóa » H36.0 G

2022 ICD-10-CM Diagnosis Code H36

Retinal disorders in diseases classified elsewhere

Background retinopathy and retinal vascular changes

Diabetes mellitus due to underlying condition with ophthalmic complications

Drug or chemical induced diabetes mellitus with ophthalmic complications

Type 1 diabetes mellitus with ophthalmic complications

Type 2 diabetes mellitus with ophthalmic complications

Other specified diabetes mellitus with ophthalmic complications

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